| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.62 | $10.62 | $10.62 | |
CareFirst
| Professional | $12.73 | $12.73 | $14.70 | |
Kaiser Permanente
| Professional | $13.12 | $13.12 | $13.12 | |
United
| Professional | $6.82 | $10.24 | $10.24 |